Ishi Kokka Shiken study plan

Draft a one-page physiology map linking cardiac output, renal sodium handling, and blood pressure control, then recite it from memory without notes

Write 40 flashcards covering autonomic pharmacology receptors and their agonists/antagonists, and self-test until you reach 90% recall

Explain the coagulation cascade and the mechanism of action of warfarin, heparin, and direct oral anticoagulants aloud in under 5 minutes

Solve 30 basic-science multiple-choice items and log every wrong answer with the underlying fact you missed

Compare the pathophysiology and histology of the four major glomerular diseases in a side-by-side table you build yourself

Summarize the diagnostic criteria and first-line management of diabetes mellitus and thyroid disease on a single A4 sheet

Trace the pathways of the cranial nerves and the brachial plexus on a blank diagram you redraw from memory

Answer 40 internal-medicine questions on endocrine and renal topics and categorize each error as knowledge gap or reasoning error

Build a decision tree for the workup of chest pain and dyspnea, covering ECG interpretation, troponin use, and risk stratification

Explain the indications and contraindications of the major antihypertensives and antiarrhythmics without reference material

List the diagnostic criteria and treatment steps for anemia, thrombocytopenia, and common hematologic malignancies

Work through 50 cardiology and hematology questions under timed conditions of 90 seconds per item

Apply a structured reasoning framework to 10 integrated case vignettes and write the leading diagnosis and next best step for each

State the distinguishing features among common causes of fever of unknown origin and of acute kidney injury

Summarize geriatric syndromes including falls, delirium, polypharmacy, and frailty with screening tools for each

Review every missed item from weeks 1 to 3 and rewrite the corrected fact in your own words

Outline the initial assessment and management sequence for trauma, shock, and sepsis using a structured ABCDE approach

Describe the indications, complications, and postoperative care for common general surgical procedures including hernia, appendicitis, and cholecystitis

Explain airway management options and the pharmacology of induction agents, muscle relaxants, and local anesthetics

Solve 40 surgery and emergency questions and record the reasoning path for each correct answer

Chart normal growth and development milestones from infancy to adolescence and identify red flags at each stage

Summarize the management of hypertensive disorders of pregnancy, postpartum hemorrhage, and preterm labor

Differentiate the major psychotic, mood, anxiety, and neurocognitive disorders by diagnostic criteria and first-line treatment

Localize neurologic lesions from described deficits in 15 short vignettes covering stroke, spinal cord, and peripheral nerve patterns

Summarize the legal framework for informed consent, confidentiality, reporting duties, and end-of-life decision-making in Japanese practice

Outline the core components of study design, bias, sensitivity and specificity, and the interpretation of screening statistics

Practice a full history and physical examination on a peer and self-score against a checklist of 30 items

Describe a structured approach to breaking bad news and to shared decision-making, and rehearse it once aloud

Complete two full-length timed mock examinations and score each by domain to identify your weakest areas

Re-review only the highest-yield errors from all eight weeks and rewrite each as a one-line rule

Recite your condensed summary sheets for basic science, internal medicine, and emergency management from memory

Build a final-week review schedule that allocates remaining time in proportion to your weakest domains